AGREEMENT FOR SERVICE / INFORMED CONSENT AND NOTICE OF PRIVACY PRACTICESFebruary 23rd, 2022
FiledFebruary 23rd, 2022This Agreement is intended to provide the undersigned (herein “Patient” or “you”) with important information regarding the practices, polices and procedures of Jeff Strnad, LMFT (herein “Therapist” or “I”), and to clarify the nature and terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENT AND NOTICE OF PRIVACY PRACTICESMarch 10th, 2021
FiledMarch 10th, 2021This Agreement is intended to provide (herein “Patient” or “you”) with important information regarding the practices, polices and procedures of Jeff Strnad, LMFT (herein “Therapist” or “I”), and to clarify the nature and terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENT AND NOTICE OF PRIVACY PRACTICESOctober 29th, 2020
FiledOctober 29th, 2020This Agreement is intended to provide (herein “Patient” or “you”) with important information regarding the practices, polices and procedures of Jeff Strnad, LMFT (herein “Therapist” or “I”), and to clarify the nature and terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.
AGREEMENT FOR SERVICE / INFORMED CONSENT AND NOTICE OF PRIVACY PRACTICESMarch 9th, 2017
FiledMarch 9th, 2017This Agreement is intended to provide (herein “Patient” or “you”) with important information regarding the practices, polices and procedures of Jeff Strnad, LMFT (herein “Therapist” or “I”), and to clarify the nature and terms of the professional therapeutic relationship between Therapist and Patient. Any questions or concerns regarding the contents of this Agreement should be discussed with Therapist prior to signing it.